Individual
BRADLEY CHARLES BROSIUS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
5702 N 26TH ST STE A, TACOMA, WA 98407-2406
(253) 503-6761
Mailing address
5702 N 26TH ST STE A, TACOMA, WA 98407-2406
(253) 503-6761
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
61075979
WA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
09/23/2019
Last updated
06/17/2020
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